Ibikunle Adebayo Aremu, Taiwo Abdurrazaq Olanrewaju, Braimah Ramat Oyebunmi
Department of Dental and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital Sokoto, PMB, Sokoto, 12003, Nigeria.
BMC Health Serv Res. 2018 Jun 7;18(1):416. doi: 10.1186/s12913-018-3236-1.
There is a paucity of data on the pattern of oral and maxillofacial surgeries done in Nigeria. Despite the rising prominence of oral and maxillofacial surgery as a specialty in our immediate environment, no published audit of the surgeries performed exist. This study aims to present the pattern and types of major surgeries done by oral and maxillofacial surgeons in our hospital as well as the indications for such surgeries. It is hoped that the findings will assist in formulating informed policies and improving healthcare delivery.
A review of hospital records of all patients who had major oral and maxillofacial surgeries at Usmanu Danfodiyo University Teaching Hospital from January, 2013 to August, 2017 was done. Descriptive statistics such biodata, indication for surgery and type of surgery were recorded and analyzed using the IBM SPSS statistics for windows version 20 (Armonk, NY: IBM Corp) software.
One hundred and forty six individuals who underwent 158 major surgeries under general anaesthesia were included. There were 82 males and 64 females, giving a male/female ratio of 1.3: 1. The ages ranged from 3 months to 81 years [median of 33 years]. Tumours and tumour-like lesions were the major indications for surgery [85 (58.2%)]. The most commonly performed surgery was mandibulectomy [31 (19.6%)], followed by Open Reduction and Internal Fixation (ORIF) [29 (18.4%)].
Major oral and maxillofacial surgeries are common in our environment. The frequencies of these surgeries can increase with better healthcare financing and universal availability of health insurance schemes. Efforts aimed at reducing the incidence of tumours should be instituted.
关于尼日利亚口腔颌面外科手术模式的数据匮乏。尽管口腔颌面外科作为一个专科在我们周边地区日益受到重视，但尚无已发表的该类手术审计报告。本研究旨在呈现我院口腔颌面外科医生所实施的主要手术的模式和类型以及此类手术的适应症。希望这些研究结果将有助于制定明智的政策并改善医疗服务。
对2013年1月至2017年8月在乌斯曼努·丹福迪奥大学教学医院接受重大口腔颌面外科手术的所有患者的医院记录进行回顾。记录并使用IBM SPSS统计软件（适用于Windows版本20，纽约州阿蒙克市：IBM公司）分析诸如生物数据、手术适应症和手术类型等描述性统计数据。
纳入了146例在全身麻醉下接受158例重大手术的患者。其中男性82例，女性64例，男女比例为1.3:1。年龄范围为3个月至81岁[中位数为33岁]。肿瘤和肿瘤样病变是手术的主要适应症[85例（58.2%）]。最常实施的手术是下颌骨切除术[31例（19.6%）]，其次是切开复位内固定术（ORIF）[29例（18.4%）]。
重大口腔颌面外科手术在我们地区很常见。随着更好的医疗保健融资和健康保险计划的普遍可得，这些手术的频率可能会增加。应采取措施降低肿瘤的发病率。
